$0/32 © THE JOURNAL OF THE AMERICAN DENTAL ASSOCIATION te Sym Fig. | * Map of Marshall Islands showing fallout area (broken lines). Rongelap inhabitants were located at southernmost portion of atoll the vicinity of four inhabited Marshall Islands. As a result 23 Japanese fisher- men aboard the Lucky Dragon, 28 United States servicemen stationed on Rongerik atoll, and 239 Marshallese were exposed to ionizing radiations from radioactive fallout.’ Sixty-four inhabitants of Rongelap atoll (Fig. 1), located 105 miles from the detonation site, received the heaviest exposure to fallout—an estimated 175 total body gammairradiation, contamination and subsequent beta burns of the skin, and some internal absorption of radioactive material.? On adjacent Ailingnae Island, an additional group of 18 Rongelapese received about half this exposure. Approximately the same amount, 70 R, was received by 28 U. S. servicemen stationed on Rongerik atoll. Fallout also was deposited on Utenk Island, 200 miles from Bikini. On Uterik, 157 Marshallese were sub- jected to about 14 R whole-body gamma irradiation. NATURE OF FALLOUT According to Conard,* fallout of radioactive material on Rongelap was observed approximately 4 to 6 hours after detona- tion. This material consisted mainly of Pad P.3 calcium oxide from incinerated coral plus adherentfission products. On Rongelap, the most heavily contaminated island, fallout was a snowlike powder. It fell over a period of several hours, whitening the hair and adheringto the skin. Fallout on Rongerik and Ailingnae was mistlike in appearance and on Uterik, it was invisible. THERAPY AND SUBSEQUENT COURSE OF EVENTS Exposed inhabitants of these islands were transported to nearby Kwajalein Naval Base two days after the detonation. At the base, they received extensive care for a period of three months; however, den- tal examinations and records were not obtained at this time. Three months after the thermonuclear detonation, radiation surveys of these previously inhabited islands showed that only Rongelap was highly contaminated. Radioactivity in the otherislands was low enough for safe habitation. The Ameri- can servicemen were returned to their duty stations because of generally nega- tive findings. The Uterik people also were allowed to return to their home island. Because Rongelap atoll was considered to be too highly contaminated, the Rongelap people were taken to

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